Provider Demographics
NPI:1922746684
Name:RAMOS, SHEILIANIE
Entity Type:Individual
Prefix:
First Name:SHEILIANIE
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6144 SHENANDOAH WAY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-4851
Mailing Address - Country:US
Mailing Address - Phone:321-987-4161
Mailing Address - Fax:
Practice Address - Street 1:6144 SHENANDOAH WAY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-4851
Practice Address - Country:US
Practice Address - Phone:321-987-4161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLR526-780-03-787-0376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide